University of Oulu

Tegelberg, P, Tervonen, T, Knuuttila, M, et al. Long‐term metabolic syndrome is associated with periodontal pockets and alveolar bone loss. J Clin Periodontol. 2019; 46: 799– 808. https://doi.org/10.1111/jcpe.13154

Long-term metabolic syndrome is associated with periodontal pockets and alveolar bone loss

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Author: Tegelberg, Paula1; Tervonen, Tellervo1; Knuuttila, Matti2;
Organizations: 1Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland
2Department of Oral and Maxillofacial Surgery, Oulu University Hospital, Oulu, Finland
3Center for Life Course Epidemiology and Systems Medicine, University of Oulu and Unit of Primary Care, Oulu, Finland
4Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
5Healthcare and Social Services of Selänne, Pyhäjärvi, Finland
6Faculty of Medicine, Center for Life Course Health Research, Health Center of Oulu, University of Oulu, Oulu, Finland
7Oulunkaari Health Center, Ii, Finland
Format: article
Version: submitted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2019100130658
Language: English
Published: John Wiley & Sons, 2019
Publish Date: 2020-05-29
Description:

Abstract

Aim: To investigate whether the metabolic syndrome (MetS) is associated with deepened periodontal pockets and alveolar bone loss.

Materials and Methods: This study was based on a subpopulation of the Northern Finland Birth Cohort 1966 survey (n = 1964). The criteria of the AHA/NHLBI were used to determine MetS. The analyses were based on the metabolic data at ages 31 and 46, and probing pocket depth and alveolar bone level data at age 46. Relative risks (RR, 95% CI) were estimated using Poisson regression models.

Results: Relative risks for PD ≥ 4 mm and BL ≥ 5 mm were higher in individuals with an exposure to MetS ≥ 15 years (RR 1.8, 95% CI 1.6–2.1 and RR 1.5, 95% CI 1.3–1.9, respectively) than in those whose exposure was <15 years (RR 1.2, 95% CI 1.1–1.3 and RR 1.1, 95% CI 1.0–1.3, respectively). Consistently stronger associations were found in never smokers. Women showed stronger associations of MetS with PD ≥ 4 mm than men. The association with BL ≥ 5 mm was observed only in men.

Conclusion: A long‐term exposure by MetS was associated independently and in an exposure‐dependent manner with periodontal pockets and alveolar bone level.

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Series: Journal of clinical periodontology
ISSN: 0303-6979
ISSN-E: 1600-051X
ISSN-L: 0303-6979
Volume: 46
Issue: 8
Pages: 799 - 808
DOI: 10.1111/jcpe.13154
OADOI: https://oadoi.org/10.1111/jcpe.13154
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Subjects:
Funding: The first author thanks the Finnish Dental Society and the Finnish Women Dentists' Association for their financial support.
Copyright information: © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Tegelberg, P, Tervonen, T, Knuuttila, M, et al. Long‐term metabolic syndrome is associated with periodontal pockets and alveolar bone loss. J Clin Periodontol. 2019; 46: 799– 808. https://doi.org/10.1111/jcpe.13154 , which has been published in final form at https://doi.org/10.1111/jcpe.13154. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.